sterile skills, such as dressing changes can be delegated to
RN or LPN
when should care be delegated to nursing assistant?
where non-skilled care is required with a sable client
clients who are being discharged should have final assessments done by
the RN
What types of clients can licensed practical nurses (LPN) monitor
IV therapy
insert urinary catheters
feeding tubes
apply restraints
What things can not be delegated to an unlicensed nursing personal
assessment, teaching, medication administration, evaluation, and unstable patients
what is the best indicator of dehydration?
weight
When a patient is in distress, what is rarely the best choice?
administration of medication
neutropenic patients should not recieve
vaccines, fresh fruit, and flowers
nitroglycerine patch is administered up to
3 times with intervals of five minutes
medication contraindicated in pancreatitis
morphine; demerol should be given instead
why is morphine contraindicated in pancreatitis?
is causes spasms of the Sphincter of Oddi
what should never be given IV push
potassium K+
infants born of an HIV-positive mother should receive
all immunizations of schedule
the number of pregnancies a woman has had, regardless of outcome
gravida
the number of pregnancies that reached variability, regardless of whether the fetus was delivered alive or stillborn. A fetus is considered viable at 20 weeks' gestation
para
vaginal discharge of almost pure blood that occurs during the first few days after childbirth
lochia rubra
the serous vaginal discharge that occurs 4-7 days after childbirth
lochia serosa
vaginal discharge of decreased blood and increased leukocytes that's the final stage of lochia. It occurs 7-10 days after childbirth
lochia alba
in the event of a fire, the acronym most often used is
RACE
Remove the patient
Activate the alarm
C attempt to Contain the fire by closing the door
Extinguish the fire if it can be done safely
What should a patient know before signing an informed consent form
whether other treatment options are available
what will occur during the preoperative, intraoperative, and postoperative phases
risks involved and possible complications
general idea of time required from surgery to recovery
have the opportunity to ask qu
the first nursing intervention in a quadriplegic client who is experiencing autonomic dysreflexia is to
elevate his head as high as possible
truth and is an essential component of a therapeutic relationship between a healthcare provider and his patient
veracity
duty to do good
beneficence
the duty to do no harm
Nonmaleficence
tyramine-rich foods
aged cheese, chicken liver, avocados, bananas, meat tenderizer, salami, bologna, Chianti wine, and beer
tyramine-rich foods are contraindicated in patients taking
monoamine oxidase inhibitors
they cause severe hypertension
the unconscious assigning of a thought, feeling, or action to someone or something else
projection
the channeling of unacceptable impulses into socially acceptable behavior
sublimination
an unconscious defense mechanism whereby unacceptable or painful thoughts, impulses, memories, or feelings are pushed from the consciousness or forgotten
repression
people with OCD realize
their behavior is unreasonable, but are powerless to change it
a significant toxic risk associated with clozapine administration is
blood dyscrasia
adverse effects of haloperidol (Haldol)
drowsiness, insomnia, HA, and extrapyramidal symptoms such as akathisia, tardive dyskunesua, and dystonia
hypervigilance and deja vu are signs of
PTSD